SearchIllinois208D00000X

Brian Bruckner, M.D

NPI 1912232331 · on the registry since 2009 · sole proprietor

Practice

Address
16329 Weber Rd
Lockport, IL 60441
Phone
(815) 274-8248

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois